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@etphnhome

I'm in my 1st month of PMR, currently at 17.5 mg and my Dr. wants me to reduce to 15mg and check in in 2 weeks. Ironically, I started at 15mg a month ago, asked to go higher and he moved me to 17.5mg, back to see him 2 days ago and he already wants me to beging taper to 15mg? I told him I had run out of 2.5mg dose for a few days and took 20mg 1 day. I had the least pain from waking up until the next day on 20mg! I met him the next day and he wants me to go to 15mg. I think I will start a journal as suggested here. Thank you...

I liked the 20mg dose but only 1 day he gave me?

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Replies to "I'm in my 1st month of PMR, currently at 17.5 mg and my Dr. wants me..."

Everyone is different, but since you mentioned it’s only your first month with PMR, I’m wondering if you may be tapering too quickly, and might need more time before dropping the dose. The one thing we all share with PMR is that in most cases, slow-slow-slow taper is best to minimize flares and help with quality of life, so know that it’s okay to slow the taper if you feel you need to. When reducing the dose, there’s usually going to be some residual pain and/or fatigue, but the hope is it will return to baseline within a few days, and if not it might help to go up again and wait for things to stabilize before trying again to taper. My mom is a retired nurse, and she told me they used to call prednisone “the happy pill,” because it quickly improved so many symptoms. But of course it’s not so happy if we’re on it for too long! The hope is to be on the lowest fox’s possible, if at all, while still being able to preserve quality of life. Wishing you all the best.